NPIMap

Individual provider Active NPI

Viju Vijaysadan, M.D.

  • Internal Medicine Physician
  • Kinnelon, NJ
National Provider Identifier
1538110754
Registry record updated Aug 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA08006300 Issued in NJ
Practice address
170 Kinnelon Rd
Suite 28
Kinnelon, NJ 07405-2347
Phone
(973) 838-7650
Fax
(973) 838-1775
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA08006300 NJ Primary
Pediatrics Physician 208000000X 25MA08006300 NJ

Addresses

Primary practice location

170 Kinnelon Rd
Suite 28
Kinnelon, NJ 07405-2347

Mailing address

170 Kinnelon Rd
Suite 28
Kinnelon, NJ 07405-2347
Phone (973) 838-7650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060519000085 NJ Practitioner - Internal Medicine 8022029453 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

63 Beaverbrook Rd
Suite 101
Lincoln Park, NJ 07035-1440
Phone (973) 696-1087

Hospital & facility affiliations

  • Visiting Nurse Assoc of Northern New Jersey, Inc Home health agency, Morristown, NJ, CCN 317002
  • Atlantic Visiting Nurse Home health agency, Morristown, NJ, CCN 317054
  • Saint Clare'S Hospital/ Denville Campus Hospital, Denville, NJ, CCN 310050
  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015
  • Careone at Parsippany Nursing home, Parsippany Troy Hill, NJ, CCN 315468
  • Morris View Healthcare Center Nursing home, Morristown, NJ, CCN 315303

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Harrison Medical Group LLC Internal Medicine CurrentSince Jun 10, 2021 Accepting new patients
St. Joseph'S Healthcare, Inc. Internal Medicine CurrentSince Jul 16, 2018 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Harrison Pediatric Care Center, P.a. Pediatrics PastSince Jun 10, 2021 Accepting new patients
Chilton Emergency Physicians LLC Past Accepting new patients

Locations

703 Main St
Rm XG2126
Paterson, NJ 07503
Phone (973) 754-2240

703 Main St
Bldg 400
Paterson, NJ 07503
Phone (973) 754-2054

97 W Parkway
Pompton Plns, NJ 07444
Phone (973) 831-5000

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281916800000",
    "number": "1538110754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 KINNELON RD",
            "address_2": "SUITE 28",
            "city": "KINNELON",
            "state": "NJ",
            "postal_code": "074052347",
            "telephone_number": "973-838-7650",
            "fax_number": "973-838-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 KINNELON RD",
            "address_2": "SUITE 28",
            "city": "KINNELON",
            "state": "NJ",
            "postal_code": "074052347",
            "telephone_number": "973-838-7650",
            "fax_number": "973-838-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIJAYSADAN",
        "first_name": "VIJU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2010-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08006300",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA08006300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kinnelon, NJ

Sources for this page

Verify at the official NPI Registry.